Provider Demographics
NPI:1508127655
Name:FISHER, KIMBERLY ANN (DO, MBA)
Entity type:Individual
Prefix:DR
First Name:KIMBERLY
Middle Name:ANN
Last Name:FISHER
Suffix:
Gender:F
Credentials:DO, MBA
Other - Prefix:
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Mailing Address - Street 1:3922 VENETIAN WAY STE 1
Mailing Address - Street 2:
Mailing Address - City:NEWBURGH
Mailing Address - State:IN
Mailing Address - Zip Code:47630-7958
Mailing Address - Country:US
Mailing Address - Phone:812-853-3500
Mailing Address - Fax:812-853-5229
Practice Address - Street 1:3922 VENETIAN WAY STE 1
Practice Address - Street 2:
Practice Address - City:NEWBURGH
Practice Address - State:IN
Practice Address - Zip Code:47630-7958
Practice Address - Country:US
Practice Address - Phone:812-853-3500
Practice Address - Fax:812-853-5229
Is Sole Proprietor?:No
Enumeration Date:2012-06-05
Last Update Date:2025-07-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN02005859A207RR0500X, 207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology